Xavier Optical, Inc.

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Legal business name

XAVIER OPTICAL, INC.

Practice address

218 Harrison St
Syracuse, NY 13202-3041

Phone

(315) 396-0325

Fax

(315) 396-0497

NPI assigned

Dec 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bryan X Sart

Title

President & Ceo

Phone

(315) 299-4074

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1033413505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023041",
            "telephone_number": "315-299-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023041",
            "telephone_number": "315-396-0325",
            "fax_number": "315-396-0497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 S Salina St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132023527",
            "country_code": "US",
            "telephone_number": "315-396-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XAVIER OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "SART",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "315-299-4074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03340425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A John Wylie, RPH
• Kela Deandra Wylie
• Joy Wyman, M.A. CCC-SLP
• Keisha Mautish Wynn
• Rafal J Wyszkowski, MD
• Fafa Komla Xexemeku, MD
• Vivian Xiao, DO
• Zifan Xiao
• Clinbin Ya
• Mariko Marium Yabe-Gill, M.D.

• Technician/Technologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.